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Bariatric surgery (such as gastric bypass or banding) helps people lose weight. It's only used for people who are obese and have not been able to lose weight with diet and exercise.
This surgery makes the stomach smaller.
Some types of surgery also change how your stomach connects with your intestines.
Weight-loss surgery before pregnancy can:1
This surgery may increase your risk of having a cesarean section (C-section).1 But there is some debate about why. It may be that past C-sections increase the risk, rather than the weight-loss surgery. Talk with your doctor if you have concerns about your chance of a C-section.
Experts suggest that a woman wait for 1 to 2 years after bariatric surgery to get pregnant.1 This surgery helps people lose a lot of weight quickly. Getting pregnant too soon after surgery could mean that a growing baby might not get needed nutrients.
In most ways, your prenatal care will be the same as for other women. But there are a few differences.
Some women may have a hard time with the idea of gaining weight for pregnancy after losing all that weight. Talk to your doctor if this bothers you.
Making healthy choices can help you have a healthy pregnancy. Eating well and being active are two of the most important things you can do.
American College of Obstetricians and Gynecologists (2009). Bariatric surgery and pregnancy. ACOG Practice Bulletin No. 105. Obstetrics and Gynecology, 113(6): 1405–13.
July 23, 2012
Sarah Marshall, MD - Family Medicine & Kirtly Jones, MD - Obstetrics and Gynecology
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